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No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures

Mrkonjic, Ante LU ; Geijer, Mats LU ; Lindau, Tommy and Tägil, Magnus LU (2017) In Journal of Plastic Surgery and Hand Surgery2010-01-01+01:00 p.1-3
Abstract

Objective: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. Methods: In 1995–1997, 41 patients, 22 women, a median age of 41 years (20–57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. Results: At 13–15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13–15 years was... (More)

Objective: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. Methods: In 1995–1997, 41 patients, 22 women, a median age of 41 years (20–57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. Results: At 13–15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13–15 years was impaired in the injured wrist, but unrelated to the presence of a subchondral haematoma. The mean grip strength in patients with subchondral haematoma was 80% of the contralateral, compared to 78% in patients without. No correlation was found between the presence of a subchondral haematoma at arthroscopy and the development of radiographic osteoarthritis in the long term. Conclusion: The presence of a subchondral hematoma in an uninjured compartment at the time of fracture did not alter the long-term clinical or radiographic outcome after a distal radius fracture.

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author
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Bone bruise, cartilage, distal radial fracture, long-term outcome
in
Journal of Plastic Surgery and Hand Surgery2010-01-01+01:00
pages
3 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85029723768
  • pmid:28885132
ISSN
2000-656X
DOI
10.1080/2000656X.2017.1372290
language
English
LU publication?
yes
id
7e3f7e99-5d2b-4d59-bced-a970cc5aebd0
date added to LUP
2017-10-09 10:17:48
date last changed
2018-01-16 13:50:11
@article{7e3f7e99-5d2b-4d59-bced-a970cc5aebd0,
  abstract     = {<p>Objective: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. Methods: In 1995–1997, 41 patients, 22 women, a median age of 41 years (20–57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. Results: At 13–15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13–15 years was impaired in the injured wrist, but unrelated to the presence of a subchondral haematoma. The mean grip strength in patients with subchondral haematoma was 80% of the contralateral, compared to 78% in patients without. No correlation was found between the presence of a subchondral haematoma at arthroscopy and the development of radiographic osteoarthritis in the long term. Conclusion: The presence of a subchondral hematoma in an uninjured compartment at the time of fracture did not alter the long-term clinical or radiographic outcome after a distal radius fracture.</p>},
  author       = {Mrkonjic, Ante and Geijer, Mats and Lindau, Tommy and Tägil, Magnus},
  issn         = {2000-656X},
  keyword      = {Bone bruise,cartilage,distal radial fracture,long-term outcome},
  language     = {eng},
  month        = {09},
  pages        = {1--3},
  publisher    = {Taylor & Francis},
  series       = {Journal of Plastic Surgery and Hand Surgery2010-01-01+01:00},
  title        = {No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures},
  url          = {http://dx.doi.org/10.1080/2000656X.2017.1372290},
  year         = {2017},
}